Get the free CA Supplemental Paid Sick Leave (SPSL) Request Form
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CA Supplemental Paid Sick Leave (PSL) Request Form Please email this completed form to allison.noren@seta.net or fax to 9165889176 Employee Names: Site/Supervisor Name: Home Address:Cell Phone #:
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How to fill out ca supplemental paid sick
How to fill out ca supplemental paid sick
01
To fill out the CA Supplemental Paid Sick form, follow these steps:
02
- Download the form from the official California Labor Commissioner website or obtain a physical copy from your employer.
03
- Fill out your personal information, including your name, address, and contact details.
04
- Provide your employer's information, such as their name, address, and contact details.
05
- Specify the dates for which you are requesting supplemental paid sick leave.
06
- Indicate the reason for your leave, which may include being subject to a quarantine order, experiencing COVID-19 symptoms, or caring for a family member affected by COVID-19.
07
- Calculate the number of hours you are requesting for each specified date.
08
- Sign and date the form.
09
- Submit the completed form to your employer as instructed.
Who needs ca supplemental paid sick?
01
CA Supplemental Paid Sick is needed by employees in the state of California who meet the eligibility criteria for COVID-19-related leave. This includes employees who are subject to a quarantine or isolation order, have been advised by a healthcare provider to self-quarantine, or are experiencing COVID-19 symptoms and seeking a medical diagnosis. Additionally, employees who need to care for a family member who is subject to a quarantine order or experiencing COVID-19 symptoms may also be eligible for CA Supplemental Paid Sick.
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What is ca supplemental paid sick?
Ca supplemental paid sick is a program that provides additional paid sick leave for certain employees in California.
Who is required to file ca supplemental paid sick?
Employers in California with more than 25 employees are required to provide ca supplemental paid sick.
How to fill out ca supplemental paid sick?
Employees can fill out ca supplemental paid sick forms provided by their employer or HR department.
What is the purpose of ca supplemental paid sick?
The purpose of ca supplemental paid sick is to ensure that employees have access to paid sick leave for specific reasons.
What information must be reported on ca supplemental paid sick?
Employee's name, reason for sick leave, date of sick leave, and duration of sick leave must be reported on ca supplemental paid sick.
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